HAND EXAMINATION TEMPLATE: FUNCTIONAL ANATOMY

 

VASCULAR

 

Palpation – “extremity warm”

 

Color – “healthy pink”

 

Pulses – radial pulse normal

 

Capillary refill < 2 seconds

 

 

 

NEUROLOGIC – MOTOR (AND MUSCULOTENDINOUS)

 

THUMB

 

FPL distal thumb flexion 5/5

 

ADP thumb apposition 5/5

 

APB palmar abduction 5/5

 

APL radial abduction 5/5

 

EPL thumb dorsal extension 5/5

 

 

 

FLEXORS

 

FDP distal phalanx flexion 5/5

 

FDS proximal phalanx flexion 5/5 (with DIP and other digits in extension)

 

 

 

EXTENSORS

 

EIP extension of forefinger proximal phalanx 5/5

 

EDC extension proximal phalanx 5/5

 

EDM extension 5th digit proximal phalanx 5/5

 

 

 

OTHER MUSCLES

 

IO finger adduction/abduction 5/5

 

 

 

WRIST

 

FCU wrist ulnar deviation 5/5

 

FCR wrist radial deviation 5/5

 

PL intact to palpation

 

ECRB wrist extension 5/5

 

ECU ulnar deviation/extension 5/5

 

 

 

NEUROLOGIC – SENSORY

 

ulnar – volar tip 5th digit nl

 

median – volar tip 2nd digit nl

 

radial – dorsal 1st webspace nl


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